Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2020-03035 | NC |
N | 207XS0106X | Orthopaedic Hand Surgeon | M0124 | TX |
NPI | 1063488914 |
---|---|
Provider Name | Dr. Mark A Katz |
First Address | Charlotte, NC 28209-2290 |
Second Address | Hickory, NC 28602-1363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 10/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0397730038 | NSC# (01) | NC |
H35598 | (02) | TX |